摘要
目的探究4R危机管理在发热门诊护理应急中的效果体现。方法以无锡市第二人民医院自2020年1月至2021年1月抽取的65例在发热门诊就医的患者作为对照组,采取常规危机管理,将2021年2月至2022年1月在发热门诊就医的65例患者作为观察组,在对照组基础上应用4R危机管理干预。对照组男34例、女31例,年龄(45.15±5.16)岁;观察组男33例、女32例,年龄(45.09±5.05)岁。对比两组患者护理后满意度评分、不良事件发生率及护理质量。采用独立样本t检验和χ^(2)检验。结果观察组服务态度、诊室环境、温馨提示、护患沟通评分分别为(3.35±1.10)分、(3.64±1.48)分、(3.27±1.14)分、(3.21±1.05)分,均高于对照组[(2.79±1.24)分、(2.95±1.00)分、(2.68±1.05)分、(2.82±1.07)分],差异均有统计学意义(均P<0.05)。观察组不良事件发生率为6.15%(4/65),低于对照组[20.0%(13/65)],差异均有统计学意义(χ^(2)=5.482,P=0.019)。观察组护理安全性、消毒隔离、药物管理、特色护理评分分别为(80.21±6.80)分、(77.62±2.53)分、(92.62±2.83)分、(88.62±5.93)分,均高于对照组[(77.80±3.51)分、(76.21±3.12)分、(91.03±3.42)分、(86.33±4.24)分],差异均有统计学意义(均P<0.05)。结论针对在发热门诊就诊的患者采取4R危机管理护理,可有效提升患者满意度,降低不良事件发生率,改善护理质量,值得各个科室借鉴推广。
Objective To explore the effect of 4R crisis management in nursing emergency of fever clinic.Methods Sixty-five patients who were hospitalized in the fever clinic in Wuxi Second People's Hospital from January 2020 to January 2021 were selected as a control group,and routine crisis management was applied.Sixty-five patients who were hospitalized in the fever clinic from February 2021 to January 2022 were selected as an observation group,and 4R crisis management intervention was applied.There were 34 males and 31 females in the control group,with an age of(45.15±5.16)years old;there were 33 males and 32 females in the observation group,with an age of(45.09±5.05)years old.The satisfaction score,incidence of adverse events,and nursing quality were compared between the two groups.Independent sample t test andχ^(2) test were used.Results The scores of service attitude,clinic environment,warmth prompt,and nurse-patient communication in the observation group were(3.35±1.10),(3.64±1.48),(3.27±1.14),and(3.21±1.05),which were higher than those in the control group[(2.79±1.24),(2.95±1.00),(2.68±1.05),and(2.82±1.07)],with statistically significant differences(all P<0.05).The incidence of adverse events in the observation group was 6.15%(4/65),which was lower than that in the control group[20.0%(13/65)],with a statistically significant difference(χ^(2)=5.482,P=0.019).The scores of nursing safety,disinfection and isolation,drug management,and characteristic nursing in the observation group were(80.21±6.80),(77.62±2.53),(92.62±2.83),and(88.62±5.93),which were higher than those in the control group[(77.80±3.51),(76.21±3.12),(91.03±3.42),and(86.33±4.24)],with statistically significant differences(all P<0.05).Conclusion 4R crisis management nursing for patients in fever clinic can effectively improve patients'satisfaction,reduce the incidence of adverse events,and improve the quality of nursing,which is worthy of reference and promotion by all departments.
作者
欧小萍
李玉群
Ou Xiaoping;Li Yuqun(Department of Infectious Diseases,Wuxi Second People's Hospital,Wuxi 214002,China;Department of Neurology,Wuxi Second People's Hospital,Wuxi 214002,China)
出处
《国际医药卫生导报》
2022年第22期3149-3152,共4页
International Medicine and Health Guidance News
基金
江苏省卫生健康委科研面上项目(H2019045)。
关键词
4R危机管理
发热门诊
护理应急
效果体现
4R crisis management
Fever clinic
Emergency nursing
Effect embodiment
